Referral Navigator

REFERRALS NAVIGATOR SUMMARY

The Referral Navigator works closely with patients, families, and the care team to ensure timely access to specialty and diagnostic imaging referrals.

QUALIFICATIONS

High school diploma or equivalent and have strong organizational skills with demonstrated proficiency in computer applications (Microsoft Office). Epic Ambulatory experience is a plus. Graduate of a medical secretary program preferred. Excellent communication skills (written and oral) professional demeanor, good problem solving skills, organized and detail-oriented. Understanding of Medicare, Medicaid and managed health care plans are necessary qualifications for this position.

English / Spanish

bilingual ability is preferred.

EXPERIENCE

Previous experience working in a medical office, clinic or hospital with demonstrated attention to detail, preferred. Equivalent experience in the field of social services a plus.

DUTIES AND RESPONSIBILITIES

Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. Ensure complete and accurate registration, including patient demographic and current insurance information. Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist. Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Review details and expectations about the referral with patients.